Nicole Gordon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009680 Issued in MI

Practice address

65422 Van Dyke Ave Suite 200
Washington, MI 48095

Phone

(586) 935-1100

Fax

(586) 935-1101

NPI assigned

Oct 10, 2011

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Collet Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.73 of 100Reported as group

Quality

87.86

Improvement activities

40

Cost

61.36

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1548932619
  Medicare reassignment Care Compare group NPD
• University Neurosurgical Associates PC

  dba Michigan Head and Spine Institute

  • Specialist
  • Southfield, MI
  • NPI 1699761379
  Medicare reassignment NPD
• University Neurosurgical Associates, PC

  dba Michigan Head and Spine Institute

  • Neurological Surgery Physician
  • Trenton, MI
  • NPI 1497379671
  NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1386928307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65422 VAN DYKE AVE SUITE 200",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-935-1100",
            "fax_number": "586-935-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "COLLET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taryn Lee Gladwish, D.D.S
• Roman Glazewski
• Reta Goga
• Keli Elizabeth Gogo, PTA
• Golden Nest Home Care Inc
• Marcie Gore, PA-C
• Gregory E. Gould, D.O.
• Gregory E. Gould DO PC
• Juli Ann Grover, FNP
• Patricia M Hall

• Physical Therapist in Washington, MI
• Providers in Washington, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.